Dr Dominic Kim, MD | |
1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 | |
(240) 857-2333 | |
Not Available |
Full Name | Dr Dominic Kim |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1060 W Perimeter Rd, Jb Andrews, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1316332323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207P00000X | Emergency Medicine | 0101262931 (Ohio) | Primary |
Entity Name | Bethesda Emergency Associates, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639125941 PECOS PAC ID: 4880581297 Enrollment ID: O20040301001187 |
Mailing Address | Practice Location Address |
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Dr Dominic Kim, MD 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 Ph: () - | Dr Dominic Kim, MD 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 Ph: (240) 857-2333 |
Dr. Christopher Joseph Pitotti, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-857-2333 | |
Nathan Marc Kinder, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1051 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-857-2333 | |
Daniel Keith Clark, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-857-2333 | |
Sandra L Mccatty, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-857-2333 | |
Jeremy L. Brenneman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-857-2333 |